In Vivo Validation of a Computer-Assisted Bowel Length Measurement System

(1) Background: The aim of this study was to investigate potential translational factors for optical 3D reconstruction in an in vivo setting using a newly developed computerized bowel length measurement system (BMS) as a real-time application. (2) Methods: The BMS was evaluated in an in vivo porcine...

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Main Authors: Benjamin F. B. Mayer, Sebastian Bodenstedt, Patrick Mietkowski, Rudolf Rempel, Lena M. Schulte, Stefanie Speidel, Hannes G. Kenngott, Karl F. Kowalewski
Format: Article
Language:English
Published: MDPI AG 2024-10-01
Series:Surgical Techniques Development
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Online Access:https://www.mdpi.com/2038-9582/13/4/27
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author Benjamin F. B. Mayer
Sebastian Bodenstedt
Patrick Mietkowski
Rudolf Rempel
Lena M. Schulte
Stefanie Speidel
Hannes G. Kenngott
Karl F. Kowalewski
author_facet Benjamin F. B. Mayer
Sebastian Bodenstedt
Patrick Mietkowski
Rudolf Rempel
Lena M. Schulte
Stefanie Speidel
Hannes G. Kenngott
Karl F. Kowalewski
author_sort Benjamin F. B. Mayer
collection DOAJ
description (1) Background: The aim of this study was to investigate potential translational factors for optical 3D reconstruction in an in vivo setting using a newly developed computerized bowel length measurement system (BMS) as a real-time application. (2) Methods: The BMS was evaluated in an in vivo porcine experiment for the influence of light source power (Watt), laparoscope-to-bowel distance (cm), bowel rotation, image background, and surgical objects in the image. Endpoints were robustness, calculated as success rate (SR) in percent, and accuracy, defined as relative error (RE) in percent of BMS measurement result to ground truth. (3) Results: A total of 1992 bowel measurements were performed on <i>n</i> = 7 pigs using the BMS. Bowel measurements were robust and accurate regardless of light source power, at a laparoscope-to-bowel distance of 5 cm (SR 100%, RE 18 ± 38.5%), when the small bowel was aligned horizontally (SR 100%, RE 7.3 ± 36.2%) or in the image background (SR 100%, RE 15.2 ± 23.4%), and when no additional instruments were in the image. (4) Conclusions: Applications based on optical 3D reconstruction are feasible for intraoperative use and could enable quantitative laparoscopy.
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spelling doaj-art-c150968806ed43c187cb91b3b31faff42024-12-27T14:54:46ZengMDPI AGSurgical Techniques Development2038-95822024-10-0113434735810.3390/std13040027In Vivo Validation of a Computer-Assisted Bowel Length Measurement SystemBenjamin F. B. Mayer0Sebastian Bodenstedt1Patrick Mietkowski2Rudolf Rempel3Lena M. Schulte4Stefanie Speidel5Hannes G. Kenngott6Karl F. Kowalewski7Department of General, Visceral and Transplant Surgery, Heidelberg University Hospital, 69120 Heidelberg, GermanyDepartment for Translational Surgical Oncology, National Center for Tumor Diseases, Partner-Site Dresden, 01307 Dresden, GermanyDepartment of General, Visceral and Transplant Surgery, Heidelberg University Hospital, 69120 Heidelberg, GermanyDepartment of General, Visceral and Transplant Surgery, Heidelberg University Hospital, 69120 Heidelberg, GermanyDepartment of General, Visceral and Transplant Surgery, Heidelberg University Hospital, 69120 Heidelberg, GermanyDepartment for Translational Surgical Oncology, National Center for Tumor Diseases, Partner-Site Dresden, 01307 Dresden, GermanyDepartment of General, Visceral and Transplant Surgery, Heidelberg University Hospital, 69120 Heidelberg, GermanyDepartment of General, Visceral and Transplant Surgery, Heidelberg University Hospital, 69120 Heidelberg, Germany(1) Background: The aim of this study was to investigate potential translational factors for optical 3D reconstruction in an in vivo setting using a newly developed computerized bowel length measurement system (BMS) as a real-time application. (2) Methods: The BMS was evaluated in an in vivo porcine experiment for the influence of light source power (Watt), laparoscope-to-bowel distance (cm), bowel rotation, image background, and surgical objects in the image. Endpoints were robustness, calculated as success rate (SR) in percent, and accuracy, defined as relative error (RE) in percent of BMS measurement result to ground truth. (3) Results: A total of 1992 bowel measurements were performed on <i>n</i> = 7 pigs using the BMS. Bowel measurements were robust and accurate regardless of light source power, at a laparoscope-to-bowel distance of 5 cm (SR 100%, RE 18 ± 38.5%), when the small bowel was aligned horizontally (SR 100%, RE 7.3 ± 36.2%) or in the image background (SR 100%, RE 15.2 ± 23.4%), and when no additional instruments were in the image. (4) Conclusions: Applications based on optical 3D reconstruction are feasible for intraoperative use and could enable quantitative laparoscopy.https://www.mdpi.com/2038-9582/13/4/27in vivo validationbowel length measurementcomputer-assisted surgeryquantitative laparoscopyoptical 3D reconstruction3D laparoscopy
spellingShingle Benjamin F. B. Mayer
Sebastian Bodenstedt
Patrick Mietkowski
Rudolf Rempel
Lena M. Schulte
Stefanie Speidel
Hannes G. Kenngott
Karl F. Kowalewski
In Vivo Validation of a Computer-Assisted Bowel Length Measurement System
Surgical Techniques Development
in vivo validation
bowel length measurement
computer-assisted surgery
quantitative laparoscopy
optical 3D reconstruction
3D laparoscopy
title In Vivo Validation of a Computer-Assisted Bowel Length Measurement System
title_full In Vivo Validation of a Computer-Assisted Bowel Length Measurement System
title_fullStr In Vivo Validation of a Computer-Assisted Bowel Length Measurement System
title_full_unstemmed In Vivo Validation of a Computer-Assisted Bowel Length Measurement System
title_short In Vivo Validation of a Computer-Assisted Bowel Length Measurement System
title_sort in vivo validation of a computer assisted bowel length measurement system
topic in vivo validation
bowel length measurement
computer-assisted surgery
quantitative laparoscopy
optical 3D reconstruction
3D laparoscopy
url https://www.mdpi.com/2038-9582/13/4/27
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